Physician
Lower Cape Fear Hospice, Incorporated
Lower Cape Fear Hospice, Incorporated was paid $26K by Medicaid between Feb 2020 and Jun 2024, across 8 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 60% of everything it billed.
33Billing provider infoLOWER CAPE FEAR HOSPICE, INCORPORATED
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1790258234assigned 01/08/2019
33bProvider typeHospice and Palliative Medicine (Internal Medicine) Physician
28Total paid$26K
24GClaims953
24DCodes billed8
24AFirst – last monthFeb 2020 – Jun 2024
Compared with peers
Next to other Hospice and Palliative Medicine (Internal Medicine) Physician providers in North Carolina
Rank by total paid#7 of 16
Median peer was paid$9K
This provider vs. median2.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 213 | $7K | |
| 2021 | 442 | $11K | |
| 2022 | 35 | $2K | |
| 2023 | 221 | $4K | |
| 2024incomplete | 42 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99310 | Prolong nursin fac eval 15m | 60% | 568 | 378 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 20% | 85 | 37 | $5K |
| 99349 | 8.8% | 64 | 58 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.7% | 65 | 52 | $966.01 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 66 | 42 | $779.96 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.0% | 31 | 17 | $524.67 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 54 | 43 | $417.02 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 20 | 13 | $179.66 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWHITLEY, GWEN (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Lower Cape Fear Hospice Incorporated | Wilmington, NC | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.